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Showing posts sorted by date for query PHAGE. Sort by relevance Show all posts

Tuesday, May 05, 2026

 

Phage’s deep pockets


Weizmann Institute researchers have identified three new families of proteins that viruses use to disrupt bacterial immune signaling




Weizmann Institute of Science




The genomes of phages – viruses that infect bacteria – are largely composed of “dark matter”: genes that encode proteins whose functions remain unknown. Less than four years ago, a team led by Prof. Rotem Sorek at the Weizmann Institute of Science identified a new type of protein within this viral dark matter and dubbed it a “sponge.” Viral sponge proteins are porous and specialize in trapping molecules within deep pockets – much like a sponge that absorbs water. For phages, however, this sponge serves as a weapon: It traps communication molecules that are essential to bacterial immune systems, allowing the phage to take control of the bacterium and multiply inside it unhindered.

Until recently, very few sponge proteins had been found. Their genetic sequences differ greatly from one another, making them difficult to detect. Now, using an innovative research approach that combines artificial intelligence with experimental biology, researchers in Sorek’s lab have uncovered new families of sponge proteins that disrupt immune communication in bacteria. The findings, published in Science, reveal how viruses silence the immune system’s alarm signals, and shed light on the importance of communication disruption in the billion-year-long war between viruses and bacteria.

In the new study, the researchers examined the structures of sponge proteins identified so far and noticed a recurring architectural pattern that could be used to discover new proteins of this type. “They are all small, composed of several identical subunits and contain deep pockets,” explains Sorek. “These pockets carry a positive electrical charge, allowing them to absorb immune alarm molecules, which are typically negatively charged.”

Insights like these used to have limited practical value, but the AI revolution has changed that. “We realized that with advanced AI tools such as Google’s AlphaFold, we could scan an enormous number of proteins and search for those with positively charged pockets capable of trapping immune molecules,” says Dr. Nitzan Tal, who led the new study in Sorek’s lab. “This allowed us to reveal new functions of phage proteins based solely on their structure.”

The scientists scanned a database of 32 million genes encoding phage proteins, from 2 million phage genomes, and used AlphaFold to predict their three-dimensional structures. “We found more than 120 candidates whose structures matched our criteria, and moved on to experimental testing,” says Tal.

The researchers then tested the effectiveness of each candidate against five bacterial immune systems, using a new method developed by research student Jeremy Garb in Sorek’s lab. The approach enabled the team to perform all the tests simultaneously rather than conducting hundreds of separate experiments. These experiments revealed a new family of sponge proteins that the researchers named Lockin. The AI model predicted that these proteins should consist of six identical subunits arranged in a circular structure resembling flower petals. In collaboration with Prof. Philip J. Kranzusch’s team at the Dana-Farber Cancer Institute in Boston, the researchers determined the structure of one family member using X-ray crystallography, confirming the prediction and deciphering exactly how the immune alarm molecule is captured.

“The huge database of viral proteins we analyzed was mostly obtained from sequencing environmental DNA samples that include a large mixture of phages,” says Sorek. “This allowed us to discover the Lockin proteins, which appeared in hundreds of phages that have never been isolated in the lab.”

Along with AI-based predictions, the researchers used additional innovative strategies. “Romi Hadary, another research student in my lab, noticed that genes that encoded known sponge proteins tend to be fused together in phage genomes,” explains Sorek. “This insight allowed us to identify an additional family of sponge proteins, called Sequestin, based on the fact that their genes are fused to those of known sponges. It goes to show that, even in the age of artificial intelligence, there is still great value in the keen observations of human scientists.”

Yet another protein family discovered in the study, called Acb5, initially puzzled the researchers. “These proteins were very similar to sponge proteins, but we discovered that they not only trap alarm molecules – they also cut them,” says Tal. “This was surprising because they didn’t have the structural features typical of molecular cutting tools. This discovery shows how systematic structural scanning can overturn previous scientific assumptions.”

The protein families identified in this study appear in the genomes of thousands of different phages in nature. The researchers also found that a single phage can carry a broad arsenal of sponges and enzymes that neutralize immune alarm molecules. Together, these findings show that proteins disrupting immune communication give phages a significant advantage in their arms race with bacteria.

“It’s not yet known whether viruses that infect plants, animals and humans also use sponge proteins, but the computational and experimental approach we developed makes it possible to test this,” adds Sorek. “If they do, sponge proteins could become targets for the development of antiviral therapies in the future. Our discovery method doesn’t require prior knowledge of protein function, and it doesn’t rely on spotting similarities in genetic sequences or on growing viruses in the lab. It is therefore a powerful tool for uncovering additional immune-related proteins that share structural patterns.”

Also participating in the study were: Dr. Ilya Osterman, Dr. Gil Amitai, Erez Yirmiya, Dr. Nathalie Béchon, Dr. Dina Hochhauser and Barak Madhala from Weizmann’s Molecular Genetics Department; Renee B. Chang and Miguel López Rivera from the Dana-Farber Cancer Institute, Boston, MA; Roy Jacobson from Weizmann’s Plant and Environmental Sciences Department; Dr. Moshe Goldsmith from Weizmann’s Biomolecular Sciences Department; and Dr. Tanita Wein from Weizmann’s Systems Immunology Department.

Prof. Rotem Sorek’s research is supported by Magnus Konow in honor of his mother Olga Konow Rappaport.

Singapore researchers advance phage therapy in fight against antimicrobial resistance


New study identifies how Mycobacterium abscessus evades treatment and proposes a strategy to overcome resistance




Agency for Science, Technology and Research (A*STAR), Singapore

Bacteriophages attaching to a bacteria cell 

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Findings from A*STAR IDL, NTU Singapore, and NUS provide actionable design principles for more durable phage cocktails, supporting global efforts to develop new countermeasures against drug-resistant infections.

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Credit: 123RF





SINGAPORE – Scientists from A*STAR Infectious Diseases Labs (A*STAR IDL), Nanyang Technological University, Singapore’s Lee Kong Chian School of Medicine (LKCMedicine), the National University of Singapore (NUS), and international collaborators have uncovered how Mycobacterium abscessus – a bacterium that causes serious lung infections – can evade bacteriophage (phage) therapy, and demonstrated a combination strategy to overcome this resistance, offering a pathway towards more effective and durable treatments. The study was published in the Proceedings of the National Academy of Sciences.

Antimicrobial resistance (AMR) is an escalating health challenge that is expected to place growing strain on healthcare systems worldwide. As AMR continues to erode the effectiveness of existing antibiotics – with one in six bacterial infections worldwide now resistant to antibiotics – scientists are accelerating efforts to develop new countermeasures such as phage therapy, which uses viruses to target bacteria. These efforts are important for strengthening global health and infectious disease preparedness.

Understanding How Bacteria Adapt to Survive Treatment

M. abscessus infections are challenging to treat due to their intrinsic resistance to many antibiotics and are increasingly recognised as a significant public health threat.

The researchers found that “smooth” strains of M. abscessus, which are more commonly observed in Asia, respond to phage therapy by switching to a “rough” form, both in the laboratory and pre-clinical models. This transition is linked to mutations in genes responsible for producing glycopeptidolipids, which shape the bacteria’s outer surface.

In other cases, the bacteria resisted phage attack without changing form, instead developing mutations in different surface‑related genes, revealing multiple pathways to resistance.

The team uncovered this resistance mechanism while generating phage‑resistant bacterial mutants to investigate phage‑bacteria interactions.

“These findings reveal an important challenge in developing phage‑based therapies. Although phages can effectively eliminate bacteria, they may also inadvertently make infections more difficult to treat, as seen in the ‘rough’ form,” explained Professor Pablo Bifani, senior author and scientist at LKCMedicine.

Designing More Effective Phage Treatments to Treat AMR Infections

To address this, the team developed a combination therapy targeting both the original “smooth” bacteria and the emerging “rough” variants. This two‑pronged approach proved more effective than a single-phage treatment, pointing toward more robust and longer‑lasting phage therapies for patients.

“What started as a straightforward goal: finding phages that can target M. abscessus smooth strains, led us to the discovery of a clinically relevant resistance mechanism,” said Dr Liew Jun Hao, first author and scientist at A*STAR IDL.

“Phage therapy holds great promise as an alternative treatment for AMR infections, and our findings show that how these treatments are designed is critical. By identifying these ‘escape states’, our study underscores the need for the field to systematically account for bacterial adaptation, so that strategies to counter phage resistance can be built into therapies from the outset, as the threat of AMR continues to grow.”

Associate Professor Albert Yick Hou Lim, Senior Consultant in Respiratory and Critical Care Medicine, Tan Tock Seng Hospital, who was not part of the study team, said: “In clinical settings, infections caused by M. abscessus are challenging to treat due to limited effective therapeutic options. These findings highlight the importance of anticipating how bacteria may respond to treatment. Strategies that account for such adaptive responses, including combination phage therapies, may enhance treatment durability, improve patient outcomes, and better inform clinical management of these complex infections.”

Advancing Novel Therapeutics and Diagnostics Against AMR

By revealing how phage resistance happens, and how it can be mitigated, this study strengthens the ongoing efforts to develop novel therapeutics against AMR.

The findings may also inform future diagnostic and monitoring approaches, such as tracking bacterial form changes and resistance-associated mutations. This could help clinicians tailor treatments and adjust therapeutic strategies more responsively.

Beyond immediate clinical applications, understanding how bacteria evolve under therapeutic pressure is important for infectious disease preparedness. Such insights can inform the design of new therapies that remain effective even as pathogens adapt.

The study contributes to Singapore’s efforts to strengthen capabilities in infectious diseases research and develop solutions to address emerging global health challenges.

– END –

Enclosed:

ANNEX A – Notes to Editor on Research Findings


______________________________________________________________________

About the Agency for Science, Technology and Research (A*STAR)

The Agency for Science, Technology and Research (A*STAR) is Singapore's lead public sector R&D agency. Through open innovation, we collaborate with our partners in both the public and private sectors to benefit the economy and society. As a Science and Technology Organisation, A*STAR bridges the gap between academia and industry. Our research creates economic growth and jobs for Singapore, and enhances lives by improving societal outcomes in healthcare, urban living, and sustainability. A*STAR plays a key role in nurturing scientific talent and leaders for the wider research community and industry. A*STAR’s R&D activities span biomedical sciences to physical sciences and engineering, with research entities primarily located in Biopolis and Fusionopolis. For ongoing news, visit www.a-star.edu.sg.

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About A*STAR Infectious Diseases Labs (A*STAR IDL)

A*STAR Infectious Diseases Labs (A*STAR IDL) was established in April 2021 with a mission to be a leading research institute of infectious diseases in antimicrobial resistance, respiratory and vector-borne diseases. A*STAR IDL brings together infectious diseases expertise from across multiple disciplines to drive cutting edge translational infectious diseases research to contribute to Singapore’s national preparedness and defence against the threat of emerging infections. Building upon a robust foundation of our strong biomedical research capabilities and complemented by our globally connected scientific network, A*STAR IDL aims to focus on innovative technologies in infectious disease detection, intervention and prevention with a pathway to impact on health and economic outcomes. https://www.a-star.edu.sg/idlabs

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Monday, April 27, 2026

Phage therapy at a turning point: Valencia 2026 to define the next era of antibacterial medicine



Mitochondria-Microbiota Task Force
Targeting Phage Therapy 2026 

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Join clinicians, scientists, regulators, and industry leaders for two days focused on turning phage therapy into clinical reality — from GMP production and regulatory harmonization to precision medicine and global applications in health, veterinary, food, and industry.

The post-antibiotic era is here. Be part of shaping the response.

Valencia, Spain | June 9–10, 2026

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Credit: @ISM





Targeting Phage Therapy 2026 will convene international leaders to accelerate clinical deployment, highlight innovation, and recognize excellence through the Targeting Phage Therapy Awards.

As antimicrobial resistance continues to challenge modern medicine, bacteriophage therapy is entering a decisive phase. The question is no longer whether phages can kill bacteria. The strategic question is whether the field can now build the clinical, regulatory, industrial, and hospital infrastructure required to make phage therapy a mainstream therapeutic option.

The Targeting Phage Therapy 2026 Congress, taking place in Valencia, Spain, on June 9–10, 2026, will bring together leading scientists, clinicians, microbiologists, engineers, biotech leaders, regulators, hospital teams, start-ups, and innovators to address one central challenge:

How can phage therapy move from promising science to accessible, validated, and deployable medicine?

The 2026 agenda is structured around a clear translational trajectory: from mechanisms and clinical evidence to production, regulation, innovation, implementation, and access.

A Strategic Program: From Science to Clinical and Applied Impact

The first day of the congress will focus on “From Science to Clinical and Applied Impact” It will explore how phage biology, therapeutic design, chronic infection models, engineered phages, and One Health applications can shape the next generation of antibacterial strategies.

The congress will open with Benjamin K. Chan, Yale University, USA, who will deliver the opening keynote lecture: Turning Evolution into Therapy: A New Strategy to Fight Antibiotic-Resistant Infections. His lecture will highlight one of the most powerful shifts in the field: using bacterial evolution not as an obstacle, but as a therapeutic lever. This strategy can potentially drive bacteria toward evolutionary trade-offs, weaken pathogenicity, and restore antibiotic sensitivity.

Other confirmed speakers for Day 1 include:

Opening Keynote Lecture: Turning Evolution into Therapy: A New Strategy to Fight Antibiotic-Resistant Infections
Benjamin K. Chan, Yale University, USA

Advancing Phage Therapy for Chronic Infections: From Experimental Evidence to Clinical Use
Joana Azeredo, University of Minho, Portugal

Bacteriophages Redesigned: Engineering of Next-Generation Phage Therapeutics and Diagnostics
Martin J. Loessner, ETH Zürich, Switzerland

The Human Virome in Chronic Infection: What Patient Phages Teach Us About Therapeutic Phage Design
Katrine Whiteson, UC Irvine, USA

Phage for Sustainable and Scalable Infection Control in Aquaculture
Adelaide Almeida, Universidade de Aveiro, Portugal

Phage Therapy in Livestock Disease Models: Lessons for Animal and Human Health
Robert Atterbury, University of Nottingham, United Kingdom

Nasopharyngeal Phages: The Silent Players in Piglet Health
Oscar Mencía-Ares, Universidad de León, Spain

Day 2: Enablers for Scale, Access, and Impact

The second day will focus on the decisive enablers of phage therapy deployment: production, regulation, quality standards, personalized treatment pathways, manufacturing, hospital integration, and innovation. 

Confirmed speakers for Day 2 include:

Personalized Bacteriophage Therapy in Germany and Beyond – A Consensus-Based Guideline
Annika Y. Classen, Cologne University Hospital, Germany

France launches its first public GMP platform to produce large batches of therapeutic phages at affordable scale
Frédéric Laurent, Hospices Civils de Lyon, France

The Qualified Presumption of Safety (QPS) Qualification of Lytic Bacteriophages: Scientific Criteria and Regulatory Perspectives
Juan Evaristo Suárez, Universidad de Oviedo, Spain

From Bioreactor to Patient: Scalable Manufacturing and Delivery of Therapeutic Phages
Danish J. Malik, Loughborough University, United Kingdom


Chronic Respiratory Infections in the Inflamed Lung: Host–Pathogen Interactions and Opportunities for Phage Therapeutics
Paula Zamora, University of Kansas Medical Center, USA

Personalized Phage Therapy at the Hannover Medical School: barriers, challenges, and next steps
Evgenii Rubalskii, Medizinische Hochschule Hannover, Germany


From Promise to Practice: What Will Make Phage Therapy Mainstream?

This final discussion will address the key barriers that still separate phage therapy from routine medical use: clinical validation, regulatory alignment, GMP production, reimbursement, hospital adoption, and international coordination. 

Submit Your Innovation: From Concept to Clinical Impact

The congress invites start-ups, biotech companies, academic teams, hospitals, diagnostic developers, manufacturing platforms, AI-based phage-matching initiatives, translational consortia, and One Health innovators to submit their innovations.

Selected innovations may be presented during the congress and highlighted to an international audience of experts, clinicians, investors, industry representatives, and institutional partners.

The Targeting Phage Therapy Awards 2026 will be a central highlight of the congress. These awards will recognize outstanding contributions that are helping transform phage therapy from scientific promise into clinical, technological, and societal impact.

The awards will spotlight excellence in five major areas:

  • Scientific Excellence Award
    Recognizing outstanding research in phage biology, phage-bacteria interactions, resistance evolution, host range, genomics, therapeutic design, and mechanistic understanding.
  • Clinical Translation Award
    Honoring work that brings phage therapy closer to patient care, including clinical case studies, compassionate use programs, hospital implementation, treatment protocols, and multidisciplinary clinical workflows.
  • Innovation and Technology Award
    Recognizing novel platforms and technologies that can accelerate phage therapy deployment, including diagnostics, manufacturing, AI, engineering, formulation, delivery systems, and quality control.
  • Young Investigator Award
    Supporting the next generation of phage therapy researchers through recognition of outstanding short oral presentations, posters, and early-career contributions.
  • One Health Impact Award
    Highlighting work that extends phage applications beyond human medicine, including food safety, aquaculture, livestock, environmental microbiology, and antimicrobial resistance control.

- Short Oral Abstract Submission Deadline: May 9, 2026
- Poster Abstract Submission Deadline: May 13, 2026
- Innovation Submissions: Open

Submit your abstract here: https://phagetherapy-site.com/

Awards and Recognitions: Open for selected scientific, clinical, technological, young investigator, and One Health contributions

The ambition is clear: to move phage therapy from fragmented success stories toward a structured therapeutic ecosystem.

About Targeting Phage Therapy 2026

Targeting Phage Therapy 2026 will take place in Valencia, Spain, on June 9–10, 2026. The congress is dedicated to accelerating the translation of bacteriophage science into clinical, industrial, regulatory, and One Health applications.

Congress: Targeting Phage Therapy 2026
Dates: June 9–10, 2026
Location: Valencia, Spain
Abstracts, innovation submissions and awards: Open
Website: Targeting Phage Therapy 2026 / Agenda at a Glance: www.phagetherapy-site.com

Monday, April 20, 2026

 

Ancient viruses serving as gene delivery couriers to help bacteria resist antibiotics




John Innes Centre

Caulobacter crescentus bacterial host cells producing GTA particles 

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Left: fluorescence microscopy showing C. crescentus bacterial cells producing GTA particles (cells have been engineered to glow green when producing GTAs). Right: cryo-electron microscopy tomogram showing a ‘cross-section’ through a single C. crescentus cell producing GTA particles (magenta and yellow). Bacterial envelope layers are shown in blue, cyan, and green. A nutrient storage granule is visible (grey). Ribosomes (protein factories) are shown in orange.

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Credit: Dr Emma Banks





Research has shed important new light on the enemies-turned-allies that allow bacteria to exchange genes, including those linked to antimicrobial resistance (AMR).   

 

The insights, which expand our understanding of the major global health threat of AMR, came as John Innes Centre researchers investigated the curious phenomena of gene transfer agents (GTAs).   

These gene-carrying particles look like bacteriophages (viruses that infect bacteria), but they have been domesticated from ancient viruses and put to beneficial use under the control of the bacterial host cell.  

Acting as couriers, they take up parcels of host bacterial DNA and deliver them to neighbouring bacteria. This “selfless” sharing, known as horizontal gene transfer, can rapidly spread useful traits including genes that confer resistance to antibiotic drugs used to treat infections. 

A crucial GTA life stage is host cell lysis: the breaking down of a host cell to release DNA-packed GTA particles. Previously, it was unclear how GTA particles escape their host bacterial cells. 

In this study, which appears in Nature Microbiology, the team used a deep sequencing-based screening method to identify genes critical for GTA function in the model bacterium Caulobacter crescentus.  

This identified a three-gene control hub, LypABC, encoding bacterial proteins. When these lypABC genes were deleted, bacteria could no longer lyse to release GTA particles. In contrast, by overexpressing the lypABC hub they obtained a very high proportion of lysing cells. Together, these experiments identified LypABC as a control mechanism for GTA-mediated cell lysis.  

Surprisingly, LypABC resembles a bacterial anti-phage immune system since it contains protein domains which are typically required for defence against viruses. However, this collaborative effort between the John Innes Centre, the University of York, and the Rowland Institute at Harvard, suggests it has been repurposed to release GTA particles for gene transfer.  

They also identified a regulatory protein which is required for strict control of both GTA activation and GTA-mediated lysis. This control is important as misregulation of LypABC is highly toxic to bacterial cells.  

In highlighting the plasticity of bacterial domains, the study advances fundamental knowledge of how gene transfer occurs between bacterial cells and offers an important clue to understanding how AMR occurs.  

First author of the study Dr Emma Banks, a Royal Commission for the Exhibition of 1851 Research Fellow, said: “What’s particularly interesting is that LypABC looks like an immune system, yet bacteria are using it to release GTA particles. It suggests that immune systems can be repurposed to help bacteria share DNA with each other - a process that can contribute to the spread of antibiotic resistance.” 

The next step for the research is to discover how the LypABC control hub is activated and how it functions to control the rupture of bacterial cells and release of GTA particles. 

“A bacterial CARD-NLR-like immune system controls the release of gene transfer agents”, appears in Nature Microbiology.  

 

Wednesday, April 01, 2026

 

One of cholera’s great enemies is found in the human gut





Wellcome Trust Sanger Institute





Cholera-causing bacteria are locked in an evolutionary arms race with a viral nemesis, according to a new genomic study.

Experts at the Wellcome Sanger Institute, icddr,b (International Centre for Diarrhoeal Disease Research, Bangladesh), the Post Graduate Institute of Medical Education & Research (PGIMER), and their collaborators, found that in the Ganges Delta, cholera bacteria rapidly gain and lose special armour that protects against attacks from the virus, known as bacteriophage ICP1.

The new research, published today (1 April) in Nature, highlighted that maintaining these anti-viral defences leads to lower disease severity of cholera in humans and reduced ability to spread outside the country for this bacterial strain.

By looking at the ecology of cholera in South Asia, this study challenges the long-held belief that the Ganges Delta is the global source of cholera. Knowing more about the strains and the factors that influence the spread of cholera bacteria in different regions could help provide an early warning system, identifying high-risk strains before they escalate and allowing for early intervention.

It could also help develop new treatments, for example, research into whether the virus could be harnessed to help stop cholera in the future.

Cholera is an acute diarrheal infection, which can be fatal within hours if untreated. It is caused by the bacterium, Vibrio cholerae (V. cholerae), which spreads through contaminated food and water1. Globally, we are in the seventh cholera pandemic, which started in 1961, with an estimated 1.3 to 4 million cases and up to 143,000 deaths per year from the condition worldwide1. It has been shown that the seventh pandemic is caused by V. cholerae strain 7PET O1, originating from the Bay of Bengal, which borders Bangladesh and India, and it was thought that the Ganges Delta was the global source of cholera.   

This new research sequenced bacterial samples from across Bangladesh and North India, creating the most comprehensive dataset of cholera in this area to date, containing over 2,300 genomes collected across approximately 20 years. They found that it was the Ganges Basin, not the Ganges Delta, that was the primary global source of cholera in that time.

By tracking the bacterial spread, they also uncovered that the bacteria do not simply follow the flow of rivers. Instead, they tend to stay within national borders, suggesting that human travel and population density are more important for cholera transmission than the natural environment.

They also found V. cholerae in Bangladesh, strain 7PET O1, rapidly gain and lose genetic elements known as defence systems, which act like armour helping them survive against their viral nemesis, the bacteriophage ICP1. Bacteriophages, also known as phages, are natural viruses that attack bacteria. They need bacteria to replicate, are generally not harmful to human cells, can rapidly kill their bacterial host, and are often found in the human gut microbiome.

By analysing cholera data in South Asia spanning 20 years, the team found evidence that the bacteria are constantly fighting off attacks from ICP1 using different armour or shields. In turn, the study shows that the ICP1 virus develops its own ‘anti-defence’ weapons to hack through those shields and continue its attack. While it has been shown previously that the presence of ICP1 in the gut is linked with less severe disease2, as the virus kills off the disease-causing bacteria2, this study shows that there is an evolutionary arms race in Bangladesh between the bacteria and ICP1, with each species developing new ways to defeat the other. This compromises the bacteria's ability to spread out of the country, limiting its ability to spread globally.

In the future, it may be possible to use our understanding of this arms race to develop new treatments or control strategies for cholera.

The study suggests that a better understanding of the natural ecology of this important disease could lead to early warning systems, highlighting V. cholerae bacteria that have lost new types of defensive shields and are more likely to cause severe disease and spread globally to cause epidemics. By identifying these high-risk strains before they spread, authorities could update treatment recommendations, deploy vaccines and improve water sanitation in specific areas to prevent local outbreaks from turning into global pandemics. Overall, by taking an ecological view of the global source of cholera, it is possible to stop the spread of these disease-causing bacteria to other parts of the world.

Dr Amber Barton, co-first author at the Wellcome Sanger Institute, said: “Our research uncovered the evolutionary struggle between cholera bacteria in Bangladesh, and the bacteriophage that preys on them. Specifically, the discovery of rapid loss and gain of V. cholerae’s protective defences and their impact on disease severity is key to understanding the factors involved in the spread of this bacterium. Without the defences, the bacteria are more dangerous to humans, and tracking this in real time, through genomics, can help us identify when the strains pose the highest risk and intervene early. Additionally, future research into cholera and microbiome interactions in other regions of the world could reveal other phages that prey on the bacteria, which may help develop new treatments in the future.”

Dr Firdausi Qadri, co-senior author at the icddr,b in Bangladesh, said: “By creating the most comprehensive genetic database of cholera bacteria samples across Bangladesh and North India, our study has shown that our understanding of the global source of cholera needs updating and refinement to consider a region that spans Bangladesh and India. We can also see that cholera spread does not follow the rivers and waterways. This suggests that, despite cholera being a water-borne pathogen, the role of human travel and population density are bigger factors in cholera transmission than the surrounding environment. Understanding this can help inform public health interventions to help stop the spread of infections.”

Professor Nick Thomson, co-senior author at the Wellcome Sanger Institute, said: “The world is in its seventh global pandemic of cholera, with the bacteria evolving and adapting to treatments and the world around it. By taking an ecological view of cholera across whole regions of the world using genomics, we have been able to dispel previous inaccuracies about the global spread of the pandemic and provide a clearer picture of the factors and threats these bacteria face. This can help inform public health strategies and future treatments to hopefully end this pandemic and protect the many thousands of people impacted.”

ENDS

Notes to Editors:

  1. Cholera. World Health Organization. Available at https://www.who.int/news-room/fact-sheets/detail/cholera [accessed March 2026]
  2. N. Madi, et al. (2024) 'Phage predation, disease severity, and pathogen genetic diversity in cholera patients.' Science. DOI:10.1126/science.adj3166

Publication:

A. Barton, M. H. Afrad, A. Taylor-Brown, et al. (2026) ‘Evolution of Pandemic Cholera at its Global Source’. Nature. DOI: 10.1038/s41586-026-10340-x

Funding:

This research was part-funded by the Bill and Melinda Gates Foundation and Wellcome.

Selected websites:

The Wellcome Sanger Institute

The Wellcome Sanger Institute is a world leader in genomics research. We apply and explore genomic technologies at scale to advance understanding of biology and improve health. Making discoveries not easily made elsewhere, our research delivers insights across health, disease, evolution and pathogen biology. We are open and collaborative; our data, results, tools, technologies and training are freely shared across the globe to advance science.

Funded by Wellcome, we have the freedom to think long-term and push the boundaries of genomics. We take on the challenges of applying our research to the real world, where we aim to bring benefit to people and society.

Find out more at www.sanger.ac.uk or follow us on Twitter, Instagram, FacebookLinkedIn and on our Blog.

About Wellcome

Wellcome supports science to solve the urgent health challenges facing everyone. We support discovery research into life, health and wellbeing, and we’re taking on three worldwide health challenges: mental health, infectious disease and climate and health. https://wellcome.org/